A brilliant article–by me–covers much wrong with Medicaid block grants:
Every politician knows that you canâ€™t touch Medicare without first gaining the permission of Americaâ€™s seniors. Yet Republicans now seek to upend the basic structure of Medicaid, with surprisingly little discussion, let alone any effort to determine how low-income adults and children, the aged, and the disabled feel about these critical changes to their health coverage.
This battle doesnâ€™t get the political attention it deserves because the details become boring and technical, and because the design of Medicaid apparently affects other people â€“ by which we mean poor people â€“ who presumably should be grateful for what they get.
Speaker of the House Paul Ryan and others would convert Medicaid to a block grant. Before inauguration, President-elect Trump announced his support for this approach. Rep. Tom Price, the Trump Administrationâ€™s nominee to run the Department of Health and Human Services, reiterated that position in his confirmation hearings.
On last Sundayâ€™s talk shows, White House counselor Kellyanne Conway suggested that converting Medicaid to a block grant would ensure that â€œthose who are closest to the people in need will be administeringâ€ the program.
As with everything in Trump-era health policy, we havenâ€™t seen the fine print. We donâ€™t know how the block grants would be financed, how they would impact states or low-income citizens. The details matter, and they wonâ€™t be good….
Unrelated picture below: